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Successful minimally invasive management of nonvascular grade IV blunt renal trauma with complete transection in a 7-year-old girl

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submitted on 2023-11-23, 07:50 and posted on 2023-11-23, 10:16 authored by Zlatan Zvizdic, Emir Milisic, Asmir Jonuzi, Melika Bukvic, Sanela Vesnic, Lejla Milisic, Irmina Sefic Pasic, Semir Vranic

Non-operative treatment of high-grade renal trauma in hemodynamically stable children is gaining increasing acceptance nowadays. However, the management of isolated grade IV injuries, particularly those with complete renal fracture and separation of the poles with intact blood supply, is still controversial. Although such injuries have a decreased likelihood of spontaneous resolution, not all require open operative repair. They can be treated with a minimally invasive combination of internal and external drainage. Herein, we report a case of a 7-year-old girl who presented with a nonvascular grade IV blunt renal trauma with a complete renal transection, successfully treated with ureteral stent placement and ultrasound-guided percutaneous drainage of the perinephric urinoma. We also present a brief literature review on this rare lesion in children.

Other Information

Published in: Journal of Pediatric Surgery Case Reports
License: http://creativecommons.org/licenses/by/4.0/
See article on publisher's website: https://dx.doi.org/10.1016/j.epsc.2022.102455

Funding

Open Access funding provided by the Qatar National Library.

History

Language

  • English

Publisher

Elsevier

Publication Year

  • 2022

License statement

This Item is licensed under the Creative Commons Attribution 4.0 International License.

Institution affiliated with

  • Qatar University
  • Qatar University Health - QU
  • College of Medicine - QU HEALTH

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